Summary of minutes from the Transformational Commissioning Board

February 10 

• NHS 111 Pilot – consultation event being held at the Reebok Centre plus a meeting to be held with Pennine-Lancashire GPs on 14 March.  Decision to be made whether to join pilot following the outcome of those meetings.

• PCT Cluster Development – proposed Lancashire Cluster discussed.  Views from all GPs to be canvassed once the decision from the SHA was received.

• Waterside Development procurement would now be progressing.

March 3

• Gynae Assessment/Menorraghia –business case and care pathway to be developed for IUS fitting for gynaecological/non contraceptive reasons.

• Complex Device Therapy/ICD business case – proposal supported in principle for further discussion necessary before decision made.
• Vascular Services Review – proposal for rationalisation of services agreed.
• Vascular Health Checks Programme – presentation given on the results and recommendations.
• NHS Budgets 2011/12 – presentation given on the financial forecast for 2011/12.
• Mental Health Commissioning support function for GP Consortia – update given.
• Minor Surgery Enhance Surgery Proposals – Policy to remove benign skin lesions approved. LES/DES now to be updated following discussion with the LMC.
• Prescribing Budgets discussed – further work to be undertaken.
• Clinical Haematology – recommended that a LES be developed.
• Paediatric Very High Intensity Users – support to be given to practices with high attendance rates.
• Rehabilitation Pathway redesign agreed.
• Cervical Screening Co-ordinator business case was supported.
• Community DVT Proposal – work was ongoing.
• Influenza & Pneumococcal Vaccinations for Housebound & Care Home Options 2011/12 – agreed GPs to deliver vaccine programme.
• Glaucoma Referral Refinement Scheme endorsed.

• Pan-Lancashire Commissioning Policies to be presented to all Trust Boards across Lancashire – could be some controversy.

March 17

• Future funding proposals for Re:fresh scheme discussed – proposed target to be reviewed.

• Chlamydia Programme review to be linked to Sexual Health Services re-design.

• Update on TCS.
• Domestic Violence Service proposal to continue with scheme agreed.